Individual
TOBIN SCOTT DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3204 CULLEN BLVD, HOUSTON, TX 77204-6000
(214) 300-8633
Mailing address
4971 MARTIN LUTHER KING BLVD # 1224-C, HOUSTON, TX 77021-2909
(214) 300-8633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8087
TX
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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